ADULT HEALTH II PRE A HESI # 2 REVIEW EXAM
QUESTIONS & DETAILED CORRECT SOLUTIONS
1. A client admitted to the unit from the emergency room 188 gtts/min
receives a prescription for an IV infusion of
0.9% sodi- um chloride 1,000mL at
750mL/4hours. The IV admin- istration set
delivers 60 gtts/mL. The nurse should reg-
ulate the infusion to deliver how many
gtts/minute?
2. A client who returns to the unit after having Give a sublingual
a per- cutaneous transluminal coronary nitro- glycerin
angioplasty (PTCA) complain of acute chest
tablet
pain. Which action should the nurse implement
next?
3. The nurse obtains a client's history that
Pathologic fracture of two
includes right mastectomy and radiation
therapy for cancer of the breast 10 years ribs on the right chest.
ago. Which current health problem should
the nurse consider is a consequence of the
radiation therapy?
4. A client admitted with abdominal pain is Cholecystectomy via la-
diagnosed
with cholelithiasis. The client asks the registered nurse paroscopy
(RN) what should be expected as a common
treatment. Which recommended plan of care
should the nurse provide the client?
5. A splint is prescribed for nighttime use by a client with Prevention of
deformities
rheumatoid arthritis. Which statement by the
nurse provides the most accurate explanation
for use of the splints?
1/
17
,ADULT HEALTH II PRE A HESI # 2 REVIEW EXAM
QUESTIONS & DETAILED CORRECT SOLUTIONS
6. A client who has a chronic cough with blood- Allowing the client
tinged sputum returns to the unit after a nothing by mouth until
bronchoscopy. the gag re-
Which nursing intervention should be implemented in flex returns
the immediate post-procedural period?
2/
17
, ADULT HEALTH II PRE A HESI # 2 REVIEW EXAM
QUESTIONS & DETAILED CORRECT SOLUTIONS
7. A client with osteoarthritis requests Low impact exercise
information from the nurse about what type of like walking, swimming,
exercise regimen would be most beneficial for & wa- ter aerobics
him. The nurse should commu- nicate which
information?
Method of Insertion
8. The nurse is caring for a client scheduled to
undergo insertion of a percutaneous
endoscopic gastrostomy (PEG) tube. The client
asks the nurse to explain how a PEG tube differs
from a gastrostomy tube (GT). Which
explanation best describes how they are
"I should continue to
different?
per-
9. The nurse is providing discharge instructions to
a
client who has undergone a left orchiectomy for testic- form
testicular self-exam-
ular cancer. Which statement indicates that the ination (TSE) monthly
client understands his post-operative care on my remaining
and prognosis? testicle."
10. The healthcare provider prescribes high- It is slow to leave the
protein, stom-
high-fat, low-carbohydrate diet with limited fluids dur- ach.
ing meals for a client recovering from gastric
surgery. The client asks the nurse what the
purpose is for this type of diet. What
rationale should be included in the nurse's
explanation to this client?
11. The nurse should explain to a client with lung cancer Prevent the
formation of ef-
3/
17
QUESTIONS & DETAILED CORRECT SOLUTIONS
1. A client admitted to the unit from the emergency room 188 gtts/min
receives a prescription for an IV infusion of
0.9% sodi- um chloride 1,000mL at
750mL/4hours. The IV admin- istration set
delivers 60 gtts/mL. The nurse should reg-
ulate the infusion to deliver how many
gtts/minute?
2. A client who returns to the unit after having Give a sublingual
a per- cutaneous transluminal coronary nitro- glycerin
angioplasty (PTCA) complain of acute chest
tablet
pain. Which action should the nurse implement
next?
3. The nurse obtains a client's history that
Pathologic fracture of two
includes right mastectomy and radiation
therapy for cancer of the breast 10 years ribs on the right chest.
ago. Which current health problem should
the nurse consider is a consequence of the
radiation therapy?
4. A client admitted with abdominal pain is Cholecystectomy via la-
diagnosed
with cholelithiasis. The client asks the registered nurse paroscopy
(RN) what should be expected as a common
treatment. Which recommended plan of care
should the nurse provide the client?
5. A splint is prescribed for nighttime use by a client with Prevention of
deformities
rheumatoid arthritis. Which statement by the
nurse provides the most accurate explanation
for use of the splints?
1/
17
,ADULT HEALTH II PRE A HESI # 2 REVIEW EXAM
QUESTIONS & DETAILED CORRECT SOLUTIONS
6. A client who has a chronic cough with blood- Allowing the client
tinged sputum returns to the unit after a nothing by mouth until
bronchoscopy. the gag re-
Which nursing intervention should be implemented in flex returns
the immediate post-procedural period?
2/
17
, ADULT HEALTH II PRE A HESI # 2 REVIEW EXAM
QUESTIONS & DETAILED CORRECT SOLUTIONS
7. A client with osteoarthritis requests Low impact exercise
information from the nurse about what type of like walking, swimming,
exercise regimen would be most beneficial for & wa- ter aerobics
him. The nurse should commu- nicate which
information?
Method of Insertion
8. The nurse is caring for a client scheduled to
undergo insertion of a percutaneous
endoscopic gastrostomy (PEG) tube. The client
asks the nurse to explain how a PEG tube differs
from a gastrostomy tube (GT). Which
explanation best describes how they are
"I should continue to
different?
per-
9. The nurse is providing discharge instructions to
a
client who has undergone a left orchiectomy for testic- form
testicular self-exam-
ular cancer. Which statement indicates that the ination (TSE) monthly
client understands his post-operative care on my remaining
and prognosis? testicle."
10. The healthcare provider prescribes high- It is slow to leave the
protein, stom-
high-fat, low-carbohydrate diet with limited fluids dur- ach.
ing meals for a client recovering from gastric
surgery. The client asks the nurse what the
purpose is for this type of diet. What
rationale should be included in the nurse's
explanation to this client?
11. The nurse should explain to a client with lung cancer Prevent the
formation of ef-
3/
17
